Individual
ALLYSA GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
806 SW BLUE PKWY, LEES SUMMIT, MO 64063-3805
(816) 272-1427
Mailing address
1634 SE 5TH ST, LEES SUMMIT, MO 64063-6150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023031905
MO
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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